Abstract: A system includes a first magnetic anastomosis device including a cover portion in which is disposed a re-shapeable portion. The first magnetic anastomosis device has a contracted orientation when positioned in a delivery device and an expanded orientation after exiting the delivery device. A second magnetic anastomosis device is alignable with the first magnetic anastomosis device for forming a magnetic compression anastomosis.

Abstract: A medical device may include a helical coil having a plurality of turns. The plurality of turns may define a lumen. The device may also include a composition. The composition may include gellan gum, at least one salt, water, and a treatment agent. The treatment agent may be disposed in the lumen.

Abstract: A method may include positioning a first device within an internal carotid artery of a subject and impeding antegrade blood flow in the internal carotid artery. Additionally, the method may include delivering a pharmaceutical agent through an external carotid artery for passage into an ophthalmic artery of the subject.

Abstract: An occlusive medical device such as a vascular implant includes a terminal portion including a first plurality of strut segments that are each joined together at a distal end thereof to form a closed end of the frame, an intermediate portion including a second plurality of strut segments, the second plurality of strut segments including a greater number of strut segments than the first plurality of strut segments, and a main portion including a third plurality of strut segments, the third plurality of strut segments including a greater number of strut segments than the second plurality of strut segments. The occlusive medical device may have an expanded configuration in which the second plurality of strut segments and the third plurality of strut segments together form a plurality of cells.

Abstract: Aneurysm embolization devices made from contiguous superelastic shape-memory material that self-expands for intrasaccular aneurysm treatment.

Abstract: Disclosed are devices for pericardial access to the heart, including direct access to the left atrium. In certain embodiments, the device may comprise a device and/or an atrial appendage (AA) portal having a configuration such that the distal end of the device and/or the portal can access an atrial appendage while the proximal end of the device and/or portal can extend to outside of the subject. The devices and methods may also include a pericardial portal for emplacement of the device and/or the AA portal. Also, methods for using such devices and/or AA portals and pericardial portals to perform surgery on the heart, and systems (e.g., kits) comprising these devices and/or portals in combination with other therapeutic devices are disclosed.

Abstract: An inflation and deflation assembly includes an interface member including a proximal connector portion and distal resilient fingers cantilevered from an intermediate body portion distal of the proximal connector portion. A coupling device is formed with a lumen that has a proximal lumen portion and a distal lumen portion and a constriction portion intermediate the proximal lumen portion and the distal lumen portion. In a coupling orientation, the interface member is introduced into the coupling device and the resilient fingers bend radially inwards upon abutting and passing through the constriction portion.

Abstract: A patient-matched cutting block including a surface or point contact features adapted to at least partially conform to or reference a patient specific anatomy. The cutting block having guide slots configured for guiding the movement of cutting tools relative to the patient specific anatomy or features configured to mate to and guide standard cutting guides relative to patient specific anatomy in order to form plateau and eminence resections of the patient specific anatomy.

Abstract: A surgical cutting instrument including an outer tubular member having a proximal section, an intermediate section and a central lumen. An inner tubular member is rotatably received within the central lumen and includes a distal end having a bur extending distally beyond, and exposed relative to, the distal section of the outer tubular member. The bur defines an aspiration pathway that is at least partially oriented at an angle with respect to a central axis of the bur. The aspiration pathway terminates at an opening that can be provided through a head of the bur or proximal to the head. Various embodiments of the disclosure have been shown to reduce clogging of the aspiration pathway during use, particularly during end on drilling. Various embodiments further include a sleeve for reducing lumen clogging as well as irrigation pathways that increase cooling of embodiments utilizing a distal bearing assembly.

Abstract: A drill bit including a shaft which has a pyramidal shaped end defining a drill tip with a plurality of edges defining the pyramidal shape. One or more recesses are provided for directing away debris produced whilst drilling. At least one recess has a first portion extending along the shaft and a second portion having a first portion extending along the shaft and a second portion which extends along the drill tip. The second portion of the at least one recess extends along an edge of the drill tip.

Abstract: Milling tool for prosthetic surgery operations, comprising: a support part (21, :32, 57) substantially semi-spherical in shape; an attachment part (24, 33, 68) which can be associated with the support part (21, 32, 57) in order to allow the selectively releasable connection of a manipulator device (28); and a cutting part (81, 82, 83) associated with at least the support part (21, 32, 57) and provided with one or more cutting elements (22).

Abstract: Systems and methods for a high speed drill cutting burr are described. The high speed drill may comprise a main body having a first section and a second section, the first section comprising a first housing configured to be operably connectable to a first cutting tip and the second section comprising a second housing configured to be operably connectable to a second cutting tip, and an electrical motor disposed inside the main body, the electrical motor may be configured to be in electrical communication with a power source. In some embodiments, a main body may be repositioned by rotating the main body 180° to switch between use of a first cutting tip and a second cutting tip. Mechanisms for limiting axial movement of a burr shank as well as transferring torque are described.

Abstract: Instrumentation sets and methods for preparing and implanting an osteochondral allograft to a bone lesion. Instrumentation sets include a pair of guide blocks, a recipient guide block and an allograft guide block, for preparing a cavity at the bone lesion matched by a similarly sized and shaped allograft. Guide blocks provide simple and direct techniques for preparing a matching cavity, formed at the bone lesion, to a bone implant, to be secured within the cavity. Methods include use of the instrumentation to restore bone surfaces for any number of sites using any allograft source. In some cases, the bone lesion is in a humeral head and the allograft source is a talus.

Abstract: A cannulated retrograde reamer that is adjustable to create tunnels of multiple different diameters. The cannulated retrograde reamer substantially reduces the risk of tunnel malposition and/or misalignment, and can be adjusted to create a range of tunnel diameters, thereby allowing inventory levels to be reduced for a surgical case.

Abstract: A method of forming a bone void for receipt of a prosthesis, comprising the steps of: inserting a stem of a reaming guide assembly into an intramedullary canal of a bone, the reaming guide assembly having first and second reamer guides disposed adjacent to each other, the first and second reamer guides being connected to an end of the stem; reaming the bone through the aperture of the first reamer guide to form a first bone void; inserting the lobe trial into the first bone void; and reaming the bone through the aperture of the second reamer guide to form a second bone void.

Abstract: The present disclosure in one aspect provides an adjustable depth drill guide comprising a trigger assembly further comprising a trigger and a primary actuating element and a telescopic rotational assembly which abuts the primary actuating element and further comprises an intermediate actuating element. The drill guide described herein allows a surgeon to adjust the depth of the drill guide using only one hand while in-situ.

Abstract: Devices, systems, and methods are provided for ligament repair procedures, and can be used to establish a location and trajectory for forming a bone tunnel in bone. One exemplary embodiment of a surgical guide for using in a ligament repair procedure includes a guide arm and a carriage that can be selectively locked along the guide arm to define an angle of the bone tunnel. The guide arm also defines a location of a distal end of the bone tunnel. In some embodiments the carriage is configured to have a bullet side-loaded into it, and the bullet can be used to define a location of a proximal end of the bone tunnel. The present disclosure also provides for a gage that limits the distance a drill pin that drills the bone tunnel can travel. A variety of other, devices, systems, and methods are also provided.

Abstract: A disposable guide device for spinal surgery comprises two tubular guide bodies extending along respective main axes between a proximal end and a distal end to guide a surgical operation on a vertebra of a patient, a plurality of support feet projecting laterally relative to each guide body, near said proximal end, each defining a contact area configured to abut on a side of the spinous process or on a lamina or facet or transverse process of the vertebra of the patient, in a mating configuration, at least one junction element extending between the guide bodies, starting from the respective distal ends, in order to space them from each other, wherein the guide bodies are oriented so that the proximal ends are more distant from each other with respect to the distal ends.

Abstract: Provided herein is a catheter assembly including, in some embodiments, a core wire configured for linear actuation and a damping mechanism around the core wire. The core wire includes a proximal end with a sonic connector configured to couple to an ultrasound-producing mechanism. The core wire includes a distal end configured to modify intravascular lesions with vibrational energy from the ultrasound-producing mechanism. The damping mechanism includes a gasket system and a retainer to retain the gasket system in a damping-mechanism bore of the catheter assembly. The damping mechanism is around a proximal-end portion of the core wire, where the damping system can provide a compressive force sufficient to dampen transverse wave-producing vibrational energy in the proximal-end portion of the core wire without restricting the linear actuation of the core wire through the damping mechanism including extension and retraction of the core wire through the damping mechanism.

Abstract: A nose knife with good usability and little interference with tools such as an endoscope in nasal cavity surgery is provided. A nose knife (10) of the present invention includes a handle (13), a shank (11), and a blade (12). The shank (11) includes a straight part (11a) connected straight to the handle (13) along the same axis, and a curved part (11b) integrally connected to the front end of the straight part (11a); and the blade (12) is provided at the front end of the curved part (11b), and direction of a blade tip (12b) of the blade (12) is 65 degrees to 75 degrees inclusive to the axis line of the straight part (11a).

Abstract: A medical device and a system including same are provided. The medical device includes an elongated device body, at least a portion of which is steerable within a body of a subject via at least one control wire; and a plurality of control wire guides disposed along the elongated device body and being deployable to deflect the at least one control wire away from a longitudinal axis of the elongated device body.

Abstract: This document relates to devices and methods for the treatment of heart conditions. For example, this document provides devices and methods for treating heart failure with preserved ejection fraction, including diastolic heart failure, by performing a pericardial modification procedure.

Abstract: An endoscopic tool for facilitating injection of fluid into a submucosal layer of tissue includes a first cannula, a suction source, a fluid lumen, and a second cannula. The first cannula has a suction surface disposed at a distal end, and defines a suction lumen. The suction source is coupled to the first cannula and creates a negative pressure within the suction lumen. The second cannula is disposed in a fluid lumen separate from the suction lumen, is adapted to be coupled to a source of fluid, and carries a needle at a distal end thereof. The tool draws the mucosal layer via the suction, which enlarges the submucosal layer, and injects a fluid into the enlarged portion of the submucosal layer via the needle, thereby creating a raised portion of tissue around the injection site.

Abstract: The invention relates to a skin treatment device for removing callus from the skin by an abrasive treatment, comprising a housing with a handle section (110), a skin treatment element (120) rotatable around a rotational axis (101) and a protective rim (130). Said protective rim circumferentially encases said skin treatment element partially over an angular range of more than 120° and less than 330° about said rotational axis such that a circumferential abrasive treatment surface protrudes from the protective rim in an area extending over an angular range of 30° to 240°.

Abstract: An atherectomy system includes a handle and a drive motor that is adapted to rotate a drive cable extending through the handle and operably coupled to an atherectomy burr. A control system is adapted to regulate operation of the drive motor, including providing the drive motor with a high frequency pulse width modulation (PWM) drive signal in order to operate the drive motor. The control system monitors a motor performance parameter such as motor speed or motor torque, and when the motor performance parameter approaches a limit of a performance range, the control system adds a low frequency PWM signal to the high frequency PWM drive signal, thereby causing the drive motor to produce a tactile signal that signals to the user that the motor performance parameter is approaching the limit of the performance range.

Abstract: An endoscopic surgical blade is disclosed. The blade is of a low-profile design, having a downward angled cutting surface that is radiused at its upper end. The blade is part of an endoscopic knife assembly which also contains a knife tube. The endoscopic knife assembly is for use in endoscopic surgery by insertion of the assembly through a slotted cannula. The knife tube is hollow and allows the insertion of an endoscope for viewing of the surgical procedure. A method for a performing an operative procedure on a target tissue in a subject using an endoscopic knife assembly having a low-profile, downward angled blade is also described.

Abstract: Some embodiments provide a soft tissue device, such as a transverse carpal ligament cutting device having one or more balloons that are deflated when the device is in an inactive position and are inflated when the device is in an active position. Other embodiments provide a soft tissue cutting method, such as a method of cutting a transverse carpal ligament that uses a soft tissue cutting device.

Abstract: Disclosed herein is a medical device. The medical device includes an outer tubular member, an inner tubular member, and a lock pin. The outer tubular member has a proximal end, a distal end, and an open window disposed at the distal end. The inner tubular member has a proximal end, a distal end, and an open window disposed at the distal end. The inner tubular member is configured to be received within the outer tubular member and capable of rotating and/or translating relative to the outer tubular member. The lock pin is configured to set the open window of the outer tubular member at a pre-determined orientation.

Abstract: An endoscopic instrument provides a flexible three-arm snare structure that is adapted to retrieve stones from a human body.

Abstract: A vibration transmitter can include a straight portion, a curved portion, a first curved surface provided on an external surface of the curved portion, a second curved surface facing a side opposite to the first curved surface and a first portion provided on the first curved surface. The first portion can extend towards a side opposite to the side toward which the curved portion is curved and a distance between the first portion and an imaginary curved surface can increase from the proximal side toward the distal side, and the imaginary curved surface being parallel with the second curved surface.

Abstract: An ultrasonic surgical instrument includes a housing, an ultrasonic transducer assembly, and a waveguide. The ultrasonic transducer assembly extends through a proximal opening into the housing and includes a horn disposed within the housing defining a first engagement member. The ultrasonic transducer assembly further includes an inner housing extending through the proximal opening and an outer knob disposed externally of the housing and slidably positioned about the inner housing in fixed rotational orientation relative thereto. The outer knob is selectively translatable relative to the inner housing from a proximal, unlocked position and a distal, locked position to rotationally lock the ultrasonic transducer relative to the housing. The waveguide defines a blade at a distal end and a second engagement member at a proximal end. The second engagement member is configured to releasably engage the first engagement member to thereby engage the waveguide with the ultrasonic transducer assembly.

Abstract: A surgical system comprises an end effector including an ultrasonic blade and a capturing arm, wherein the capturing arm is movable to capture tissue against the ultrasonic blade. In addition, the surgical system includes a transducer configured to generate ultrasonic energy for transmission to the ultrasonic blade and a clamping member removably coupled to the end effector, the clamping member configured to clamp the captured tissue.

Abstract: An ultrasonic surgical instrument includes an inner tube, an outer tube, an ultrasonic blade, and a clamp member pivotably moveable relative to the ultrasonic blade. The ultrasonic blade is acoustically coupled to an ultrasonic transducer. The clamp member pivotably movable relative to the ultrasonic blade between an open configuration and an approximated configuration with respect to the ultrasonic blade, wherein the clamp member is pivotably coupled to the inner tube, wherein the clamp member is pivotably coupled to the outer tube, and wherein movement of the outer tube relative to the inner tube between the first position and the second position transitions the clamp member between the open configuration and the approximate configuration.

Abstract: A device for intrabody surgery comprises a cutting arrangement rotatable by a hollow driveshaft, which is formed by a hollow front cutting region and a rear region. The front region includes multiple longitudinal drilling sections interconnected by transversely oriented cutting blade sections. The drilling sections are positioned at an angle to each other defining in combination with the cutting blades a conically shaped grid formation having a hollow internal cavity. The grid formation defines a plurality of ports between the drilling sections and the blades. A low-pressure zone is formed within the hollow internal cavity, wherein cut occlusion materials are aspired by the low-pressure zone through the plurality of ports into the hollow internal cavity for further evacuation from the cutting arrangement.

Abstract: An atherectomy system includes a drive mechanism that is adapted to rotatably actuate an atherectomy burr and a controller that is adapted to regulate operation of the drive mechanism. In some cases, the drive mechanism includes a drive cable that is coupled with the atherectomy burr and a drive motor that is adapted to rotate the drive cable. The controller is adapted to receive an indication of an increase in torque experienced at the atherectomy burr and is further adapted to, in response, regulate operation of the drive mechanism such that the increase in torque results in a noticeable reduction in speed of the drive mechanism such that a user of the atherectomy system notices the reduction in speed and is alerted to the increase in torque.

Abstract: A medical device for removing an intravascular thrombus includes: a rotatable tubular driving shaft in which a spiral-shaped carrier is provided on an inner surface thereof; a cutting part that is provided on a distal side of the driving shaft and cuts the thrombus; and an elongated resistive body that is disposed in a lumen of the driving shaft and can be rotated relative to the driving shaft.

Abstract: An atherectomy system includes a drive mechanism adapted to rotatably actuate an atherectomy burr and a control system that is adapted to regulate operation of the drive mechanism. The drive mechanism may include a drive cable that is coupled with the atherectomy burr and a drive motor that is adapted to rotate the drive cable. The control system includes a drive module adapted to provide an operational signal to operate the drive mechanism, a monitoring module adapted to monitor operation of the drive mechanism and to determine if the drive mechanism is operating within a predetermined range and an excitation module that is operably coupled to the drive mechanism and is adapted to provide haptic feedback to a user of the drive mechanism if the monitoring module determines that the drive mechanism is not operating within a predetermined range.

Abstract: A method of two-phase atherectomy for removal of plaque within an artery forming a stenosis including a first phase of rotational drilling by exerting a rotational force on a cutter to form a channel within the plaque having a diameter substantially equal to a diameter of the cutter—the cutter being rotated at a first rotational speed sufficient to maintain rotation of the cutter about a stationary rotational axis—and a second phase of orbital impact by exerting a rotational force on the cutter to result in radial orbital motion of the cutter within the channel resulting in periodic impact of the cutter upon the plaque to form micro-fractures within the plaque and enlarge the diameter of the channel to a diameter substantially greater than the diameter of the cutter—the cutter being rotated at a second rotational speed to result in the radial orbital motion of the cutter.

Abstract: The present disclosure relates to a structure of an automatic hair implanter capable of continuously performing hair transplantation work by applying a structure of a conventional manual hair implanter. A proposed automatic hair implanter (hair transplantation device) comprises a rotating magazine therein, and several needle modules are stored in the magazine. Two pushrods, which are positioned on a rear portion of the device and capable of translational motion, play a role of pushing a needle and a shaft, which constitute a needle module, forward. The needle and the shaft may be moved backward by a spring positioned inside the magazine.

Abstract: A pair of cooperating catheters are used together to provide rapid access to the Left heart for diagnostic or therapeutic interventions. The initial entry point for the catheter pair is the groin. The pair of catheters can be used to carry out an electrographic determination of the location of the Fossa Ovalis on the septum. Features on the Catheter system permit quick and reliable confirmation of the catheter location via echo or x-rays. Once across the septum the inner catheter is removed from the outer catheter and a standard intervention may be carried out through the lumen of the outer catheter.

Abstract: Provided are a super wing nut and a super wing bolt that may be used both separately and in conjunction with each other. The super wing nut comprises a head, two wings that extend transversely from opposite sides of the head, a tightening hole that passes perpendicular through the head between the two wings, a tightening slot in a top surface of the head, a polygonal sided shaft that extends downward from the head, and a threaded shaft that extends downward from the polygonal sided shaft. The super wing bolt comprises a head, two wings that extend transversely from opposite sides of the head, a tightening hole that passes perpendicular through the head between the two wings, a tightening slot in a first top surface of the head, a polygonal-sided shaft that extends downward from the head and a threaded hole that passes axially through the shaft.

Abstract: Devices, systems and methods for use in spinal surgeries. The system may include a fastener system comprising a fastener, a staple, and a locking cap. A cord may extend along the spine and through at least one fastener system. An instrument may be provided for tensioning the cord. The system may, for example, apply fixation on the convexity of the scoliotic vertebrae to limit growth on the convex side and allow unilateral growth on the concave side.

Abstract: A medical instrument has a connector configured for being fixed to a spine support, and a rib support connected to the connector and configured for supporting the rib. The medical instrument has a pair of an upper hook and a lower hook provided on the rib support. One of the upper hook and the lower hook is fixed to the rib support so as to be vertically adjustable. The rib support is connected to the connector to be movable in a direction along the rib.

Abstract: Devices and methods for coupling first and second adjacent vertebrae. The device includes a first coupling element and a second coupling element. The first coupling element has a first body portion for receiving a first bone fastener and an elongate rod portion extending transversely from the first body portion. The second coupling element has a second body portion for receiving a second bone fastener and an extension portion extending transversely from the second body portion. The extension portion defines a recess sized and configured to receive the rod portion of the first coupling element. When unlocked, the rod portion is moveable in the recess to allow for rotational and translational movement of the first and second coupling elements. When locked, the relative position of the first and second coupling elements is fixed.

Abstract: Method and apparatus for performing medial-to-lateral sacroiliac fusion. An aiming guide is used to place a guide wire into a sacroiliac joint to facilitate driving a fusion implant into the joint.

Abstract: Spinal implants for limiting flexion of the spine are implanted between a superior spinous process and an inferior spinous process or sacrum. The implants include upper straps which are placed over the upper spinous process, while the lower portions of the implant are attached to the adjacent vertebra or sacrum. The attachments may be fixed, for example using screws or other anchors, or may be non-fixed, for example by placing a loop strap through a hole in the spinous process or sacrum.

Abstract: Disclosed herein is a surgical instrument configured for attachment to a surgical device. The surgical instrument includes a distal region having a curved internal surface configured to mate with a curved external surface of the surgical device, a rotational locking feature that limits rotational movement of the instrument with respect to the surgical device, and an axial locking feature that limits axial movement of the blade with respect to the surgical device. Methods of using the surgical instruments include sliding the axial locking feature past a corresponding axial locking feature on the surgical device, locking the axial locking feature to the corresponding axial locking feature on the surgical device (thereby limiting axial movement of the elongated blade with respect to the surgical device), adjusting the position of the surgical device using the surgical instrument, and disengaging the axial locking feature (for example, by using a disengagement instrument).

Abstract: An instrument and method of using the instrument for setting a fracture in a bone and applying a bone plate to the fractured bone. The instrument includes a connector for connecting the instrument to the intramedullary rod. At least two tines are movably connected to the connector and configured to orient the fractured bone with respect to the rod. Each tine has a distal end configured to contact the bone. At least one plate carrier is configured to receive the bone plate. The at least one plate carrier is movably connected to the connector and configured to move relative to the connector and the tines to position the bone plate adjacent the bone in a predetermined alignment with the intramedullary rod.

Abstract: Plates for patella fracture reduction and fracture reduction devices are described. More particularly plates and devices for patella reduction that are universally fit to a front surface or perimeter of a patella and include a plurality of attachment holes disposed therein for receiving a fastener. In some embodiments, the plates include removable tab members.

Abstract: A fastener for fixing bone and a method of fixing bone with the fastener. The fastener may be headless and may be configured to compress bone when driven into at least one bone and across a discontinuity formed by the bone. In an exemplary embodiment, the fastener includes a forward portion, a rear portion, a first thread having a plurality of revolutions in each of the forward and rear portions, and a second thread having a plurality of revolutions in the rear portion and none in the forward portion. The first thread may have a greater average lead in the forward portion than the rear portion. Revolutions of the first thread and the second thread may alternate with one another in the rear portion such that the rear portion is at least double-threaded.